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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay. be lore. restrictive than City
<br />regulations. The undersigned assu..s responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the confractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law.. If the owner or intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Departle~t, (B131
<br />7BB-6611. .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor .that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />6~,de. prepared by the Florida Departlent of Agriculture and Consuler Affairs.. If the applicant is sOleone other than the
<br />"owner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.plianc. with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services,. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule. will be sublit~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to perli t issuance. .
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall bee ole invalid
<br />unless the work authorized by such perlit is cO.lenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cot.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCE"ENT. JOBS UNDER $2,500 U DO NOT NEED TO RECORD AND POST A "NOTICE OF COK"ENCEKEN .
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF OA'.:::>c.o
<br />The foregoing instrument was acknowledged
<br />before me this Ja.n ,;:n, 19 Off) by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A::, co
<br />The foregoing instrument
<br />befcll-e me th i s jeu. ~.I
<br />
<br />\l'Jas acknc1wledged
<br />, 19.3.2- by
<br />
<br />(Signature)
<br />
<br />
<br />J E'/26 M~
<br />who is personally
<br />p.f"osuC:l!d
<br />a.fi iSl!!IItific:atiol.
<br />take an oath.
<br />
<br />J . (J4'elLf:iL
<br />known to me or win... Ild"S
<br />
<br />cJ efLo M,E; v). (J A12--<<- u:...
<br />who is personally known to me or who h.s
<br />prDelU'::c-J
<br />. . icatio cti1:t/did not
<br />take an oath.
<br />
<br />and who a+a/did not
<br />
<br />: ~.'--
<br />
<br />?(;iQ}j L ~th-.- -
<br />
<br />(Signa tw-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm. Exp. Oct. 12. 1999
<br />Comm. No. CC 501333
<br />
<br />
<br />NATALIE SWAN
<br />Notal'}' Public, State of F10rldl
<br />My Comm. Exp, Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
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